Description
Book SynopsisSmall Animal Medical Diagnosis, Third Edition takes a problem-oriented approach to clinical diagnosis and outlines core information necessary to effectively evaluate the major medical problems in dogs and cats. The text starts by defining problems caused by disease and proceeds to integrate the history, physical examination, and diagnostic modalities into a logical approach designed to assist with the medical management of patients. The new edition continues to serve as a vital tool in accurate and appropriate diagnosis for small animal veterinarians, emergency and critical care veterinarians, and veterinary students.
Trade Review"This book fills a gap that exists between the quick reference texts that have proliferated recently and more extensive medical reference texts. It provides an approach to problems in manageable and meaningful chunks to create conceptual understanding, rather than providing an outline of facts and recommendations. The book is probably most useful for veterinary students and new graduates overwhelmed by the amount of information in other texts but facing animals with problems in their clinics. It would also be a handy off-the-shelf reference for practitioners faced with rare problems or hoping to avoid overlooking a key differential diagnosis. Students who work through the book in a thoughtful manner can be expected to gain skills in problem identification and the mechanistic diagnostic approach. Working through the clinical vignettes also strikes me as an excellent way to prepare for the national licensing examination, with more learning gained than anticipated from practicing multiple-choice questions. In summary, this book should be an excellent investment for veterinary students and small animal practitioners." (
Journal of the American Veterinary Medical Association, March 2010)
"The new edition includes the addition of case reports, and I felt it helps give the reader a clearer picture of the patient and the development of the thought process as it progresses through the case during the work-up. There have been updates to diagnostic tests that are reflective of the changes and improvements that have been made in procedures as they are performed in the veterinary field.... The format is an excellent way to help teach how to think through a case and the logical steps to thoroughly work through it." (VSPN, October 2010)
"Overall I feel it would be a good text for both veterinarians and veterinary technicians alike to help teach or reinforce many points to be considered when presented with a patient, including clinical signs throughout the disease process." (Veterinary Information Network, October 2010)
“The pathophysiological background in each section is certainly useful information and the clinical vignettes make surprisingly pleasant reading-a bit like Aesop’s Fables for vets.” (Veterinary Practice, April 2010)
Table of ContentsContributors xiii
Preface xv
1. The Problem-Oriented Approach 3
Michael D. Lorenz
Part One General (Polysystemic) Problems
2. Pyrexia (Fever) 15
Emily L. Medici and Michael D. Lorenz
3. Disturbances of Food Intake: Anorexia and Polyphagia 22
Michael D. Lorenz and Paul L. DeMars
4. Episodic Weakness 31
Michael D. Lorenz
5. Polyuria and Polydipsia 36
Justin D. Thomason and John P. Hoover
Part Two Behavioral Problems
6. Aggression 45
Paul L. DeMars
7. Fear, Anxiety, and Compulsive Behavior 48
Paul L. DeMars
Part Three Conformational Problems
8. Ascites, Peripheral Edema, and Abdominal Distention 53
T. Mark Neer
9. Retarded Growth 62
Michael D. Lorenz
10. Changes in Body Weight: Weight Loss and Obesity 68
Paul L. DeMars
Part Four Dermatologic Problems
11. Pruritus 77
Michael D. Lorenz
12. Primary and Secondary Skin Lesions 82
Michael D. Lorenz
13. Alopecia 87
Michael D. Lorenz
14. Disorders of Pigmentation 93
Michael D. Lorenz
Part Five Hematolymphatic Problems
15. Bleeding Disorders 101
James H. Meinkoth and Michael D. Lorenz
16. Lymphadenopathy 110
Michael D. Lorenz
Part Six Cardiovascular Problems
17. Disturbances of Heart Rate, Rhythm, and Pulse 115
Nicole Ponzio
18. Murmurs and Abnormal Heart Sounds 134
Nicole Ponzio
19. Abnormal Mucous Membranes 151
Jennifer L. Peters
Part Seven Respiratory Problems
20. Coughing and Hemoptysis 159
Justin D. Thomason and John P. Hoover
21. Respiratory Distress and Cyanosis 166
Justin D. Thomason and John P. Hoover
22. Syncope 173
Justin D. Thomason and John P. Hoover
23. Abnormal Lung Sounds 179
Justin D. Thomason and John P. Hoover
24. Sneezing and Nasal Discharge 183
Jennifer L. Peters
Part Eight Digestive Problems
25. Ptyalism 197
Jill D. Brunker
26. Dysphagia 202
Jill D. Brunker
27. Regurgitation and Vomiting 207
Jill D. Brunker
28. Diarrhea 213
Jill D. Brunker
29. Constipation and Flatulence 226
Michael D. Lorenz
30. Abdominal Pain 231
Kristy Broaddus
31. Icterus 235
T. Mark Neer
Part Nine Urologic Problems
32. Abnormal Micturition: Dysuria, Pollakiuria, and Stranguria 255
Paul L. DeMars
33. Discolored Urine 258
Mary H. Bowles and Michael D. Lorenz
34. Urinary Incontinence 274
Mary H. Bowles
Part Ten Reproductive Problems
35. Vaginal and Preputial Discharge 287
Charles C. Broaddus and G. Reed Holyoak
36. Abnormalities of the External Genitalia 293
Chris Schreiber and Gregor L. Morgan
37. Abortion, Abnormal Estrous Cycle, and Infertility 301
G. Reed Holyoak, Chelsea Makloski, and Gregor L. Morgan
Part Eleven Musculoskeletal Problems
38. Lameness 319
T. Mark Neer
39. Bone, Joint, and Periskeletal Swelling 327
Jude Bordelon
40. Nociception (“Pain”) 336
Michael D. Lorenz and Marjorie E. Gross
Part Twelve Neurologic Problems
41. Paresis or Paralysis 345
T. Mark Neer
42. Ataxia 357
T. Mark Neer
43. Head Tilt 362
T. Mark Neer
44. Collapse (Seizures, Syncope, Cataplexy, and Narcolepsy) 369
T. Mark Neer
45. Stupor and Coma 377
T. Mark Neer
Part Thirteen Special Sensation Problems
46. Blindness 385
Michael D. Lorenz and Margi A. Gilmour
47. Anisocoria 390
Margi A. Gilmour
48. Nystagmus and Strabismus 396
Michael D. Lorenz
49. Loss of Corneal Transparency 400
Margi A. Gilmour
50. Abnormal Anterior Chamber 406
Margi A. Gilmour
51. Abnormal Lens 412
Margi A. Gilmour
52. Anosmia—Loss of Olfaction 417
Michael D. Lorenz
53. Deafness 420
Michael D. Lorenz
Part Fourteen Laboratory-Defined Problems
54. Hematologic Problems 427
Robin W. Allison
55. Abnormalities of the Standard Biochemical Profile 438
Robin W. Allison, James H. Meinkoth, and Theresa E. Rizzi
56. Problems Identified on Urinalysis 461
James H. Meinkoth
57. Abnormal Blood pH, Anion Gap, and Blood Gases 474
Theresa E. Rizzi
Index 483